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Individual

AUDRA R SNOWDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3525 ENSIGN RD NE, STE M-1, OLYMPIA, WA 98506-5065
(360) 456-2559
Mailing address
3525 ENSIGN RD NE, STE M-1, OLYMPIA, WA 98506-5065
(360) 456-2559

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00003422
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8364044
WA
Enumeration date
10/16/2007
Last updated
10/16/2007
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